Lower back pain is familiar to almost everyone. It is difficult to find someone who at least once faced with this very unpleasant symptom. Sometimes it is enough to sit in an uncomfortable position for some time is discomfort in the lumbar region of the spine. But it is not a serious problem, just as a result of prolonged stay in an uncomfortable position. But severe lower back pain almost always has a special reason and the reason to go to the doctor. Not always, the diagnosis is to be expected, since lower back pain is just one of the possible problems, lower back pain.
Why sore lower back and what to do in such a situation, it is not difficult to guess. The doctor makes a diagnosis and identify the cause of the pain, and then need to start treatment.
Pain syndrome – primary and secondary
To understand why a sore lower back, we must not forget that the cause of such pain is estimated in tens, and the lover can never determine the real problem.
Generally, a medical classification to distinguish between primary and secondary pain syndromes, which can affect the lumbar region.
The primary syndrome back pain occurs as a result of skeletal changes. He is the cause in most cases of back pain in the lumbar region. The most significant category of causes – degenerative-dystrophic changes in different parts of the spine:
- osteochondrosis, which is the damage of bone and connective tissue, this disease is a mortal character. When it affects the discs between the vertebrae and the adjacent vertebrae, begins to develop chronic disease of the spine.
- inflammatory disease, is a form of osteoarthritis, the disease affects the joints between the vertebrae, which are responsible for mobility of the spine, or articulation technologies synovial technologies.
Secondary pain syndrome is a lot of different reasons for pain:
- scoliosis, which is curvature of the spine, as well as some other teething;
- anti-inflammatory non-infectious nature. For example, rheumatoid arthritis, rheumatic disease, etc.;
- tumor located in the vertebra of the spinal cord or spatium retro peritoneal, regardless of whether it is primary or caused by metastases;
- fracture of one or more spinal vertebrae. This is perhaps one of the most serious causes of back pain;
- various infectious diseases, which leads to loss of the vertebrae and the discs between (tuberculosis, brucellosis, etc.);
- heart disease, which is a serious disturbance of blood supply to the spinal cord. In this case, can also be a feeling, that aching lower back;
- diseases of the gastrointestinal tract. For example, acute appendicitis with atypical anastomosis leakage, ileus;
- often back pain appear in the wild. The same problem may occur when some diseases of organs located in the pelvic area. For example, renal colic, venereal diseases (gonorrhea, trichomoniasis, chlamydia, ureaplasmosis, adnexitis – all these diseases are the cause reflected pain in the lower back).
What is acute and chronic pain
Back pain is also divided into acute and chronic, which can cause many different problems and diseases, including nerve endings and the spine. Often observed and displaced pain – the translation of pain sensations to other organs, which are located much deeper. In other words, a person thinks that a sore lower back, although it is actually a problem in quite another part of the body. But most often in the lumbar region is estimated to pain in the pelvic organs, pancreas, kidneys, colon, or tumors behind the peritoneum.
Usually, people do not know what to do if a sore lower back. But well understand what not to do, not to self-medicate . The cause of the pain varied, the correct diagnosis can only specialist, and the constant use of painkillers (which many consider a treatment) can still malfunctioning.
Causes of acute painBefore you decide what to do, when there is a really sore lower back, nothing serious, the doctor should first find out the cause of pain occur. The reasons may be different, but most of them are somehow related to the spine.
One of the most simple and harmless and cause pain – acute passing a pulled muscle. In this case, the source of the pain are long muscles in the attack. This problem pain rarely "pay for" other parts of the body, severely limit the mobility of a person. This reason is very common, often in his face in athletes and people whose work involves a variety of physical activities.
Spinal injuries can be the cause of lower back pain.
Another common, but much more serious consequences, the source of pain is fracture of the spine, especially if we are talking about compressed fractures of the vertebrae. This often happens if you fail downs and other back injuries. But if a person is sick with a disease of the endocrine system, osteoporosis, Paget's disease or tumors of the spine region, the fracture can occur unnoticed by the patient, as they say, "from scratch". And people don't even know when the fracture happened.
Not less unpleasant situation, when there is a sharp pain in the lower back is the offset of the discs between the vertebrae of the lumbar spine. The symptoms of this problem is severe back pain, which can limit mobility. Most often the pain is due to compression of the nerve roots. Such signs of compression are:
- disorders of sensation;
- the disappearance or significant reduction in the heel reflex;
- the absence of or reduce the intensity of knee reflex;
- one-sided radicular pain.
One of the most unpleasant trends with this problem is that such a change can cause the pathology of the vertebrae below. As a result, the pain below the waist can disrupt the function of the rectum and bladder. Localization of pain above the waist is also possible in some cases.
Acute back pain can occur as a result of osteoarthritis of the joints between the vertebrae. In this case, the cause of the pain is the compression of the spine by removal of the spinal canal, the disc between the vertebrae is left intact. This syndrome usually occurs as a result of the growing upper and lower facets between the vertebrae of the joint, resulting in a narrowing between the vertebrae of the hole.
Focal lesions space of the spine is one of the most serious diseases, which cause severe pain in the lower back. This disease requires immediate diagnosis and immediate treatment, and recommended any very effective measures, including surgical procedure, the main thing – to quickly remove the compression of the spinal cord.
Diseases of the hip joint often cause acute low back pain. Because they are characterized by pain radiating into the lower part of the waist and legs up to the knees.
Causes of chronic lower back pain
One of the reasons chronic pain is changing the spine. This disease is a change in the vertebrae of the lumbar spine. Eventually narrowed the channel of the spine, and the bony spines beginning to put pressure on the nerve roots. Aching pain can be accompanied by numbness and weakness in the legs and other neurological symptoms. In any case, you need a full examination, the results of which will set the final diagnosis.
Ankylosing spondylitis - a chronic systemic disease of the joints, can also be the cause of chronic pain. It manifests itself, drawing pains in the lower back, looks and rapidly develop curvature of the spine chest. The first symptoms are the limitation and reduction of movements of the chest during breathing.
Often the cause of lower back pain in cancer and metabolic disorders. But benign tumors can cause chronic pain, which is not associated with neurological symptoms.
Osteomyelitis can also cause aching pain in the lower back pain can be very long.
Progression pain the disease
With the defeat of organs of small pelvis usually appears on the pain. The cause may be endometriosis, for example. In men, these pains can occur in chronic prostatitis.
Different kidney diseases cause pain dents in the spine and ribs.
Problems in the gastro-intestinal tract (tumors of the duodenum or of the stomach, the pancreas, the disease of a hollow organ) is called pain in the area of segments T10-L2.
Lower back hurt also chronic disease of the mucous membrane of the colon, tumor colon and bowel disease.
Pain in the lumbar and thoracic spine can also occur because of aortic dissection.
Conclusion
As you can see, lower back pain can cause many diseases. Although most people do not even expect that the problem is not there, "where it hurts". So even if you have a sore lower back not constantly, but from time to time – don't wait, contact your doctor . The disease is easier to cope with at an early stage, not when it is out of order and it pulls a lot of complication.